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Calcimator

Pulmonary Rehab Calculator

Exercise prescription from 6MWT, IBW, A-a gradient, and tidal volume targets.

Inputs

Results

Ideal Body Weight (kg)

65.9

Predicted 6MWT (m)520
6MWT % Predicted67.4%
Moderate Exercise Speed (km/h)2.3
Tidal Volume Target Low (mL)396
Tidal Volume Target High (mL)527
A-a Gradient (mmHg)24.7
Normal A-a Gradient (mmHg)20.3
Low Intensity Kph1.58
High Intensity Kph2.89
How to Use This Calculator
  1. Enter age (years), height (cm), weight (kg), and sex to calculate ideal body weight.
  2. Enter your 6MWT distance (meters) from a supervised 6-minute walk test.
  3. Review predicted 6MWT based on your demographics and your percentage of predicted distance.
  4. Check recommended moderate and vigorous exercise heart rate targets for rehab sessions.
  5. Use exercise speed recommendations to set treadmill pace during pulmonary rehabilitation.

How the result changes with Height (cm)

Height (cm)Ideal Body Weight (kg)
13030
15552.4
18579.5
210102.2

What each input means

Age (years)
Patient age in years.
Height (cm)
Patient height in centimeters.
Weight (kg)
Patient body weight in kilograms.
Sex (0=Male, 1=Female)
Biological sex for predicted values.
6MWT Distance (meters)
Distance walked during the 6-minute walk test.
PaO2 (mmHg)
Arterial partial pressure of oxygen from ABG (for A-a gradient).
PaCO2 (mmHg)
Arterial partial pressure of CO2 from ABG.

What each result means

Ideal Body Weight (kg)
Ideal body weight from Devine formula — used for ventilator tidal volume targets.
Predicted 6MWT (m)
Expected 6-minute walk distance for a healthy person (Enright & Sherrill).
6MWT % Predicted
Actual 6MWT distance as percentage of predicted.
Moderate Exercise Speed (km/h)
Recommended moderate-intensity walking speed (~65% of 6MWT speed).
Tidal Volume Target Low (mL)
Lower target tidal volume at 6 mL/kg IBW (ARDSnet protective ventilation).
Tidal Volume Target High (mL)
Upper target tidal volume at 8 mL/kg IBW.
A-a Gradient (mmHg)
Alveolar-arterial oxygen gradient on room air. Elevated = gas exchange impairment.
Normal A-a Gradient (mmHg)
Expected normal A-a gradient for this age ≈ (age/4) + 4.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Age (years) = 65, Height (cm) = 170, Weight (kg) = 75, Sex (0=Male, 1=Female) = 0 = 7 input(s) provided
  2. Calculate Ideal Body Weight
    65.9 = 65.9
  3. Calculate Predicted 6MWT
    Predicted 6MWT
    520 = 520
  4. Calculate 6MWT % Predicted
    6MWT % Predicted = (walkDistance6MWT / predicted6MWT) * 100
    67.4 = 67.4

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